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Organization

AMERICAS CHILDREN DENTAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN TRAHAN (MANAGING PARTNER)
(303) 377-1280
Entity
Organization

Contact information

Practice address
1470 JERSEY ST, DENVER, CO 80220-2652
(303) 377-1280
(303) 400-8262
Mailing address
1470 JERSEY ST, DENVER, CO 80220-2652
(303) 377-1280
(303) 400-8262

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9303
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
98931865
CO
Enumeration date
06/05/2008
Last updated
06/05/2008
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